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SGOT n SGPT elevated
I am a 39-year-old female. My recent blood tests showed:
ALT (SGPT): 57.3 U/L (elevated)
AST (SGOT): 43 U/L (elevated)
Bilirubin, GGT, ALP, albumin and other liver parameters are normal.
I do not consume alcohol and am not taking any regular medications. Nor had any viral infection
Comparison with my December 2025 report:
ALT was 16 U/L
AST was 20 U/L
(both normal)
Other current results:
HbA1c improved from 6.1% (Dec 2025) to 5.5%
Fasting glucose: 90 mg/dL
Triglycerides: 131.7 mg/dL
HDL: 51.5 mg/dL
Vitamin D: 39.49 ng/mL
Ferritin: 25 ng/mL
Thyroid and kidney function are normal.
I have gained weight, especially around the abdomen, over the years and gained about 2 kg recently. Current weight 87 kg
Could you please advise whether these liver enzyme elevations are concerning and whether I need repeat LFTs, an ultrasound, or any further evaluation?
Thank you.
Answers (14)
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Your SGPT and SGOT have risen significantly since December 2025 without alcohol, medications, or a viral infection. Combined with your abdominal weight gain and previously borderline HbA1c, this pattern is very consistent with Non-Alcoholic Fatty Liver Disease (NAFLD) â where fat accumulates in the liver due to insulin resistance and metabolic factors, causing enzyme elevation even without alcohol. The good news is your HbA1c has improved and other liver parameters are normal, which means the damage is still mild and reversible.
Next Steps
Please consult me directly on Practo for a detailed evaluation â an abdominal ultrasound to assess for fatty liver would be the right next step, along with monitoring your LFTs every 3 months.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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Go for detailed LFT, ultrasound, tests for viral hepatitis b and c, share results.
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Go for weight loss
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Nothing..normal
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Hi,
It happens due to your recent weight gain, fatty liver changes, or lifestyle factors.
Since you have no alcohol intake or medications, it's likely related to the abdominal weight gain.. Ultrasound of liver can give more clarity if needed.
Feel free to consult for further guidance.👍
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It can be bcz of fatty liver.
Any itching in the body ??
Kindly do usg abdo pelvis for fatty liver.
Vit E tablets once a day for 1 month and drink black coffee and also strict control on your diet.
If fatty liver is not controlled from stage 2 It can lead to MASH or HCC. . And subsequently liver failure in later stage of life.
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Based on the detailed lab results in 1000025281.jpg, your ALT (SGPT) at 57.3 U/L and AST (SGOT) at 43 U/L are mildly elevated. Because your bilirubin, GGT, ALP, and albumin are completely normal, this indicates mild, isolated hepatocellular irritation rather than a severe, acute liver failure or biliary tract obstruction.
Next Steps
It is highly reassuring that your HbA1c has significantly improved from 6.1% to 5.5%, and your fasting glucose, lipids, thyroid, and kidney functions remain completely normal. This demonstrates that your systemic metabolic control is actively heading in a positive direction, meaning the mild liver irritation is likely early-stage, completely reversible, and not a cause for immediate panic.
Health Tips
To structurally review your upcoming abdominal ultrasound imaging report, calculate your exact baseline hepatic fat parameters, and build a tailored metabolic and exercise layout to safely reverse this mild liver irritation, please book a full consultation session via my Practo profile."
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Free online consultations for age 50 years and older.
Best wishes
www.jgsr-health-education.in
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Hi. The enzymes are elevated. Possible reasons could be lifestyle which may be causing this. Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Repeat usg
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation please consult
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Nothing to worry much
Just do some life styles changes
Weight loss is the game changer here
Avoid fatty food or saturated food basically packed food
Avoid sugars
Exercise
Next Steps
Repeat lft after 3 months of doing this
Health Tips
Do consult if u feel the need to
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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